Healthcare Provider Details

I. General information

NPI: 1831262310
Provider Name (Legal Business Name): NARASINGRAO PAMPATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44405 WOODWARD AVE NICU
PONTIAC MI
48341-5023
US

IV. Provider business mailing address

44405 WOODWARD AVE NICU
PONTIAC MI
48341-5023
US

V. Phone/Fax

Practice location:
  • Phone: 248-858-3526
  • Fax: 248-858-3532
Mailing address:
  • Phone: 248-858-3526
  • Fax: 248-858-3532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number4301041188
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: